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HomeMy Public PortalAbout9620 GIDLEY ST_Building__F7APPLICAAON FOR BUILDING PERMIT FOR APPLICANT TO FILt IN ADDRESS d BUILDING ADDRESS —7 NEAREST CITY E `— ZIP l I� CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT x Z V 1-1 NOW ON LOT MAP BOOK PAGE PARCEL TRACT I BLOCK IRE WCESSE'l4rBy LOT NO. DI .Ga2fl,P CONST.PE F16 A,L TEL ✓ / OWNER rt~ AA—EG NO-441-4 ......C.A.1-CLASSIFICATIrONSEWER"P ADDRESS G L E S`T CLASS No. Z 2— DWELL UNITS BKl CITY �E G ZIP USEZONE MAP. ARCI-IFfECT OR, TB•214} No. ENGINEER �J SPEOAL ICONDM04S ADDRESS 1 (7D, �i L! G ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR C G NO. BLDG.SETBACK FROM FRONT PROP.UNE Of (STREET) ADDRESS I >zWA,L N U'- NO. 1 TOTAL SETBACK FROM TYPE OF EXISTING LIG iHIGHWAY. + YARD FRO{.NTMP LINE HIGHWAY WIDTH CITY /S► CLPSS ^I + CONSTRUCTION LENDER NAME AND BRANCH W N•e:TZ N N L BLDG.SETBACK FROM. U ADDRESS CITY SIDE PROP.LINE OF (STREET( ac SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD � TOTAL SETBACJC FROM TYPE OF EXISTING r SIZE STORI FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH a� + � Z DESCRIPTfON OF WORK NEW ADD CORNER CUTOFF YES .❑ NO ❑ ALTER IN OPEN SPACE YE ❑ NO ❑ USE OF REPAIR IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. 'Wr6t, ? DEMOL APPCANT TEL (IPRINTIDV No. �� BY TSIGNATURD - LA RBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICJ. AND STATE E ABOVE IS CORRECT AND AGREE TO CDMPLY HATH ALL ORDINANCES WS REGULATING BUILDING CONSTRUCTIOfi I CERTIFY THAT IN DOING THE AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P86ON IN VKXATKXN OF OR CODE OF STATE OF CAL FORK IA IN RELATING TO WOWW-E N'E OJh', . ION IN51J . TURE OF FINAL BY TEE N DATE S C I, Permit Fee A4 0 I--I QO 'V i /� NO. — P.0 Fee s �--•� u o Issuance Fee TTON$ ( Y� — 'V Total Fee .PLAN CHECK VALIDATION Y.O. CASH" PERMIT VALIDATION CPC Y.O. CASH L 2 0 ,4cc-"MAY ^l R S 9 6 4.8 U w-el 3 ,2 D 8 g..Q 0. AS N 76A6"■CI</60AI§8/77` 7.pA83 E•SAWJD 1/71 APPLICATFON FOR BUILDI G PERMI� bp a COUNTY OF LOS ANGELES ASSESSOR 1 DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL �. F BUILDING AND SAFE'T'Y DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, DUF•T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CR035 ST(Print gr &XD* onlY) . D13T I G UP BY ONS BUILDING � ONS T. ADDRESS STATISTICAL IFICATION SEWER MAP LOT NO. BLP4K CLASS NO DWELL,UNITS BK4 PG TRACT USE ZONE MA NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. CoLL�� OWNER Natter • C • NOL686-0202 BLDG.SETBACK FROM ' FRONT PROP.LI NE OF (STREET) ADDRESS TYKE OF EXISTING SrTBACK HIGHWAY YARD = TOTAL CITYTPmple City. Calif HIGHWAY WIDTH FROM C.L. ARCHITECT TE 60 + ENGINEER NO. 2 ADDRESS 6252 E. Tele rah Rd. L-AG SIDE PROP.LINDG.3ETBLIN FROM SE OF (STR T) TE TYPE OF "ISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO. _ HIGHWAY WIDTH FROM C.L_ ADDRESS 2 2 NO 2 �.- . �CII'Y $ Angeles CILASS y CORNER CUTOFF YESCOt4STRUCNO ❑ NAME AND BRANLCH ��RNorie JSEE,REVERSE SIDE FOR S ECIAL APPROVALS ADDRESS AD NO. OF NO. OF ZSIZE STORIES��rFAMILIESSTRUOCTURE n use SIGNATURE OFAPPLICAN-TVALUATION f yf, APPROVALS DATE IN1R[CTOR'G SIGNATURE FEE �' PMT' -0368 L •Z/ 1 FOUNDATION: LOCATION FEE f�ZJJl7Cl / ✓ FORMS MATERIALS �FIlAl FIRE SbIL%7„-.r+ I H[RES7 ACKl�OWLEDGE SHAT.I HAVErRf_AD THIS AFFLICATION BRACING BOL'•`I`3' AND ATATE THAT,THE ABOVE IS CORRECT AND AGREE. Q COMI L'R;(.” ,FURNACE: L N; _ WITH ALL ORDIN�NCES.. AND LAWS .R[GULATSNG EUILbING "LEON= GAS VENT UCTS ' - STRUCTION. I C TIFY THAT IN DOING THE WORK AUTFORIZ6D �. HERESY I WILL DT-,E1.(PLOY,ANY.PERSON IN VIOLATION OF THE TH, IN Js LAI R CODE OF THE STAT[ OF •CALIFORNI.4 IN R[LATING.-TQ W ORKM[N'G CQMF M N INSURANCE. •'�•.� LATH, EXT. SIGNATURE OF OUSE NUMBER COR- PERMITTE RECT AND POSTED .5 ADDRESS . ' 1 FINAL JOHN F. LEWIS. PRIhICIPAL STcc. AL ENGINEER PLAN CHECg ATION4� cK.: o cA,.H PERMIT VALIDATION M.O. USH >s 7 F3 7 SE 5 2 1..14 A LAW 9 2 0 8�3 WT 12 1 D .8 6 9IC 76AB38A CE 0803 3-69 c1r- .y �� / ec- p z e- r/7 y 7 APPLIC&ION FOR BUILDING PERMIT 11 '— COUNTY OF LOS ANGELES BUILDING 1r1 DEPARTMENT OF COUNTY ENGINEER ADDRESS V BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DIST JCT NO GROUP YPE co R (PRINT OR TYPW ONLY) C BUILDING STATISTICAL C ICATION SE MAP ADDRESS CLASS N0. DWELL.UNITS BK �PQ� LOT NO. BLOCK USE ZONE MAP C� \ N0. TRACT /y/j/� a SPECIAL NO. OF BLDG3. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OW NEA NO. TYPE OF EXISTINGSETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY ARCHITECT TEL. BLDG.SETBACK FR (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF S(MTNG SETBACK WAY + YARD TOTAL [ADDRESSZ DDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ N0.A 1. '�S CORNER CUTOFF YES ❑ NO ❑ITY cI SEE REVERSE SIDE FOR SPECIAL APPROVALS °L CONSTRUCTION LENDER NAME AND BRANCH 71 ADDRESS Z SC 1 FT. N0. OF NO. OF SIVE STORIES FAMILIES NEW USE OFyl ❑ URE �} ❑ ALTER REVAIR ❑ G E OF MOL ❑ LUATION SC/ ' APPROVALS DATE IN2P[CT011'1 810HATURK FEES f O FEES FOUNDATION: TOCATILOSN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, ORA�l F, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- TI CERGAS VENT, DUCTS TIFY THAT I THE WOR UTHORIZEO HERE Y I LL T EMPLOY A ERSON N VIO 0 F THE LABOR DE LATH, INT. I OF TH STATE OF LIVORNIA N RE ING WORKMEN' OM- PENS ION INSURA E. LATH, EXT. HOUSE HUMBER CORRECT AND POSTED ADDRES FINAL 1171 Lor JOHN F. LEWIS, PRINCIPAL ST T AL ENGINEER PLAN CHECK VALIDATION CR. M.O. CASH _ PERMIT VALIDATION CK. ,0. CADH o 0 4 ;�l D011 1 2 3 D 14,1 OL � ,o i 7 8 NN 8 1 D 2350 4/70 • = APPLICATION FO UIL G PEF IT � COUNTY OF LOS ANGELE� ) ASSESSOR ` MAP BOOK PAGE PARCEL DEPARTMENT OF COUNTY ENGy BUULDING AND SAFETY D IO BUILDING �• ADDRESS /�—• • �, ' JOHN A. W►M01 E, CoI�INTY EN NEER I ' COLEMAN W. JENKINS', 6UP'T OF' ILDING LOCALITY FOR APPLICANT Av a T F L NEAREST �j (Print or tvDe only)�-7 cRcss sr. ADDRESS �C. /...�' / DIST$�O6T NO. GROUP CONST•-/;, -C.[.��f�'�•B�-�O „ BUILDING J f+� STATISTICAL CLASSIFICATION SEWER MAP c LOT NO. &74 BLOCK CLASS NO ` 6 DWELL,UNITS �t BKL PO / 3 TRACT J ? "r o USE Z E MAP 2 NNO.OF OW ON L DDGS ty NO. SIZE OF LOT CJ SPECIAL USE OF nay,•` � rz CONDITIONS EXISTING BLDG, I- TEL' OWNER Jy- ' NO. BLDG.SETBACK FROM p] A�DftE34qadp. ry` \ FRONT PROP.LI NE OF (STREET) _ /�� / TYPE OF EXISTING SETLACK HIGHWAY + YARD = TOTAL j CITY" � 7 .` J �/ D HIGHWAYWIDTH FROM C.L ARCHITECTTEL L + _ ENGINEERkcy NO,. � 77210O BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL TYPE OF 1STING DETBACK HIGHWAY + YARD = TOTAL CONTRACT NO - Q HIGHWAY WIDTH FROM C.L. LIC ADDR /, 7 NO + S LIC. CIT S CLASS ""` CORNER CUTOf F YES';< NO ❑ CONSTR�I,11CTlON LENDER O _ ' NAME AIiD BRANCH -SEE REVERSE SIDE FOR SPECIAL APPROVAL:$ Lu a . A D R ESS - SQ. F• NO. OF NQ. OF NEW!PA SIZE STORLES FAMILIES. 1 l F r• AD ❑ !T S G CTURE �I J C AL ❑ ` SIGNATURE OF REPAIR z� APPLICANT DE If SJA7w � 97 VALUATION S 2� (��(/��� APPR AL3 ATE . INeF[cTon'G ■IGNi,rvn[ P.C. PMT. FOUNDATIONr LOCATIpN- • ' ' i' '� _ __ FEE i � FEE S FORMS MATERIALS" - FRAME: FIRE STOPS;- '''' I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING B0Lh`S /JI •7 AND STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HER I WILL No EMPLOY ANY PERSON IN VIOLATION F TH[ LATH, INT. LA EOR CODE OF TH 1TAT[ OF -CALIFORNIA IN RELAT G F} 1 WORKMEN'S COMPS ION INSURANCE. LATH, EXT.; f _ Sl ITTE URE O HOUSE NUMBER COR-. RE CT AND POSTED Ab Ess FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL-ENGINEER PLAN CH= VAf.IDATiO CK ►I.o. CAiH _ PERMIT VALIDATION Q M.O. CASH . S 9 7_0.�. : 28 2 3 D .2 ,-2.801 1 p�, 0 6 4 2Jtkl 3 1 438,OOr R APPLCATI ; �,,���11OR�BUILOING PERM ir II FOR APPLICANT TO FILL IN (P�Inf,c �Er1 �Ld E COUNTY OF LOS ANGLES BUILDING Or ADDRESS DEPARTMENT OF COUNTY ENGIN= Lu CITY G� ZIP :`•�, BUILDING AND SAFETY DIVISION n NO.OF BLD6S BUILDING Z SIZE OF LOT NOW ON LOTS ADDRESS W U TRACT / L K LOTS O.�._....... LOCALI Y TE L'ti� NEAR OWNER O. CROSS ST. _ ASSESSOR U ADDRESS M-AP BOOK PAGE PARCEL r DISTRICT GROUP TYPE I FIRE kfrrTUVSSED BY F CITY LG ZIP CONST. ZONE ARCHlTECT OR T L ENGINEER NO. . STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.�.DWELL•UNITS BK PG CONTRACTOR/ L[•, EQ.L• USE ZONE NO. 115/J LIC. ADDRESS D O' r.C(� NO. Al SPEC I LIC. CONDTIONS CITY, eZ_ CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY FRONT PROP.LINE OF (STREET) 8 SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE EXISTING � FRONT PROP. LINE HIGHWAY WIDTH WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW DD BLDG.SETBACK FROM x' SIDE PROP. LINE OF (STREET) ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING EPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF t = EXISTING BLDG, EMOL ❑ APPLICANT �--�y TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE - YES ❑ NO ❑ t IN COASTAL ZONE YES ❑ NO ❑ VALUATION W , CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI4ATION EKVIRONMENTAL AND STATE THAT THE ABOVE IS CORRE4T AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED E) HEREBY I WILL NOT EMP Y AMY PERSON IN VIOLATION OF THE LABOR CODE OF THE T[ OF CALIFORNIA IN RELATING TO WORKMEN"J-CO MPEX T N LURA NC E.� �.�.f ✓� `� —� SIGNATURE OF PERMITTEE ADDRESS doo�,3 Al FINAL BY TEL 1 DATE CITY NO. d✓ MAKE CHECKS PAYABLE To : FEE $ M HARVEY T. BRANDT, COUNTY ENGINEER r PLAN CHECK VALIDATION U1GH _ P VALIDATION CH. CAGH 4. 4 2 e-APR i2 2. D 1 9_8 .se 76A636A CEr603 7/73 7 4 7e APR 29 _ 1 D 3 3.0-0 APpLIC/ IrION FOR COUNTY OF LOSANGR�S ARTMOF COUNTY ENGINEER B U I LD I ISG PERMIT D BUILD NGrtAND SAFETY DIVISION FOR APPLICANT TO FILL IN AA N� BUILDING ADDRESS ! LOCALITY ! _ N EAR$f QTY ZIP CROSS ST. '10.OF BLDG.. ASSESSOR SIZE OF LOT J(Z L �{OW ON LOT MAP BOOK PAGE PARCEL TRACT oZ99 BLOCK LOT No. '�d D4STPoC a SUP TYPE FIRE7BY OWNER NO. ,41 STATISTICAL CL!SSl SEWER MAP AD CLASS NO. DWE1 IUNITS BK PG QTY 0 ZIP USE ZONE MAP ARCHITECT OR TEL. !/1 ENGINEER NO. 1 ' SPECIAL coN DI n ONS ADDRESS ! ROAD DEPARTMENT APPROVAL RELIUIRa) YES ❑ NO ❑ TEL CONTRACTO NO. -,V 7BLDG. CK FROM LIC FRONT P.LINE OF LSTREETI ADDRESS TOTAL SETBACK FROM TYPE OF EXISTING LIG �+ WGHWA + YARD FRONT PROP.LINE HIGHWAY WIDTH CUTY - CLASS N CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETBA M DRESS �Y SIDE PROP.I INt ISTREETI 0 ADDRESS R NO.OF NO. CHECK HIGHWAY + YARD FROM TYPEOF EXISTING 0 SIZE STORIES FAMILIES ONE SIDE PRO HIGHWAY WIDTH DESCRIPTION OF WORK Z. NEWol + ADD CORNER CUTOFF YES ❑ NO ❑ ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL APPU CAM TEL (PRINT) NOS 7"rJr BY(SIGNATURE] I HEREDY AOQJOWL�CaC I HAVE READ WAND THAT THE ABOVE TS D AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGLI11- G BUI NG mHS7RLICTIOfL CRT]FY THAT IN DOING THE WORT(AUTHOOZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR COOP OF THE STATE OF CAIJFORNIA IN RELA TWO TO WORKMEN'S COM- PENSATION LNSURMKf SIGNATURE OF rRNAL BY PERMITTEEADDRESS CITYS P2 &0 PermM Fee Issuance Fee VALUATION$ , � Total Fee PLAN CHECK VALIDATION CIc M.O. CASH _ PERMIT VALIDATION C!C Y.O. CASH 8 9 5 .AJL 25 2.3 21.6C. Aid 896tiJUL 25 1 34-(D0ea 76Ae3eA CK/eo3LA 8/77 . AIM =6663 r k76A638gfCE #1803 1/71tp", APPLICATION FOR BUILDINRMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS. (� COLEMAN W. JENKINS, SUPT OF BUILDING ` LOCALITY �. FOR APPLICANT TO FILL IN NEAREST Print ort onl CROSS ST. BUILDING / y / �1 DISZ8IC N ROUP YPE P ADDRESS (,�/� U (.-, d 4-� /� V, _ CONST. _ STATISTICAL CLA SI FICA TION S WER MAP LOT NO. BLOCK CLASS NO. DWELL.UNITS B TRACT USE ZONEI MAP NO.OF BLDGS. NO. '_5 SIZE OF LOT NOW ON LOT SPECIAL USE OF ONDITIONS EXISTING BLDG. OWNERTEL. NO. BLDG.SETBACK FROM ADDRESS O FRONT PROP,LINE OF (STREET) i TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY ' HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + ENGINEER NO. BLDG,SET KFROM ADDRESS SIDE PROP.L OF (STREET) EL TYPE OF CONTRACTOR /(,J ,! WINO �- 6 HIGHWAY WAY EW WIDTH FROM C.L. HIGHWAY + YARD = TOTAL CD U ADDRESS/Z30 ' 04* � LIC. . © + _ �NO. c:) IC. �1 H" LASS frt ORNER CUTOFF YES ❑ NO--❑ w CONSTRUCTION LENCER 4:7 °- cn NAME AND BRANCH E E SIDE_ FOR SPECIAL APPR VALS M ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OFA - r STRUCTURE ,trroE,e /3G'/e�� � ' ALTER SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ .-. VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. ` '} C PMT, Cj L� FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STIR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN IOLATION OF THE LATH, INT. LABOR CODE OF E STATE OFCALIFOR IN LATI NG TO WORKMEN'S COM N AT ION INSUR ALATH, EXT, SIGNATURE OF ��I// HOUSE NUMBER COR- PERMITTEE RECT AND POSTED 10, :1 ADDRESS FINAL JOHN F. LEWIS. PRINC PA STR AL ENGINEER PLAN CHECK VALIDATION CK. .0. CASH _ PERMIT VALID I N CK. O. CASH 6587- JA 21 2.3 5.4 0- Iq L�►o 6 5 8 f3� JUN 21 1 D 9.0'p 76A638A CE #803 3-69 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING // Ar DEPARTMENT OF COUNTY ENGINEER ADDRESS ds BUILDING AND SAFETY DIVISION LOCALITY —7/✓j '� r JOHN A. LAMBIE, COUNTY ENGINEER ' COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. ,/�•' f"- FOR APPLICANT TO FILL IN DISTRICT NU. GROUP TYPE CONST. PROCESSED BY a <� (PRINT OR TYPE ONLY) ~ " - ./,l�l.,b.�•.y,.� BUILDING .,+ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 4:!>to •20 �s'` S CLASS NO. /,12-DWELL.UNITS BK PG LOT N0. BLOCK USE ZONE MAP sh -NO. TRACT j SPECIAL N0. OF BLOGS. i CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM N TEL. TING SETBACK HIGHWAY + YARD TOTAL FRONT PROP. LINE OF +` -(STREET) OWNER N0. TYPE OF EXIS ADDRESS ✓L �I /� .�-r�T' HIGHWAY WIDTH FROM C.L. CITY r`.G G�T"Ir "...e 9�`.' + ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET) ENGINEER NO. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTORI E^j6, NO.8 + ADDRESS " No'15bZ 51 CORNER CUTOFF YES 5rNO E] � CITY ,a�'g'g •� CLASS C'I(� SEE REVERSE SIDE FOR SPECIAL APPROVALS O F-• V CONSTRUCTION LENDERW NAME AND BRANCH N Z ADDRESS SQ. FT. N0. OF N0. OF SIZE STORIES FAMILIES NEW USE OF ADD STIR �Cj `�� R ❑ ALTER ❑ VAOEM(dl FrA I R E] SIGNATURE I APPLICANT OF �E ,r L DEMOL ❑ VALUATION $ C%�'OD APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ �.�p� FEE $ FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE F CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INS NCE. LATH, EXT. SIGNATURE ,�,[�l HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRES I�L. FINAL JOHN F. LEWIS, PRINCIPAL SnK. L ENGINEER PLAN CHECK VALIDATION CK. I{+•o• CASH — PERMIT VALIDATION CASH # *^ 2O� "2023 D 39.60- cq Lam ? � P Nuv D 66.00- ppop— 1 7. `. N 76A"IA CE 1603 1/71 C-/T4e tv� T� ��j— / "/;y APPLICATION FOR BUILDING PrERM1T COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY APPLICANTFOR TO FILL IN NEAREST (Print or tYDe only) CROSS ST. 'ESUILDING 7 DISTRICT NO. GROU TYP $SED BY 6-V Q CONST, ADDR U LOT NO. STATISTICAL CLASSIFICATION ER MAP BLOCK CLASS NO —Z-7 DWELL.UNIT3 BK PGq I TIRACT USE ZONE MAP - - NO.OF BLDG3. Q� NO. _ SIZE OF tOT ( NOW ON LOT SPECIAL USE OF CONDITIONS _ EXISTING BLDG, TEL- OWNER ELOWNER Re5g, NO• BLDG.SETBACK FROM ADDRESS , JFRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK( HI Y + YAAb = TOTAL CITY HIGWA WIDTH FROM G.L. I H ARCHITECT OR TEL, ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) C19 -TEL TYPE OF ISTING S HIGHWAY + YAkD = TOTAL NOIDTH FROM C.L S 7 AT/ LIC. _ A NO.I + _ O LIC. CITY • CLASS C' CORNER CUTOFF YES ❑ NO ❑ y� CONSTRUCTION LENDER G NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ell ADD STRUCTUR ALTER ❑ SIGN URE O E A DEMOLOL ❑ VALUATION APPROVALS DATE INS R[CTOR'■ lIENA TL R[ PMT, mQ FOUNDATION: LOCATION FEE S FEE S 1j FORMS MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION BRACING BOLTS AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STR UC TIO CERTIFY T IN DOING THE WORK AUTH IZED HER WI NOT E OY Y FIRSO N VIOLATION THE LATH, INT. LA CODE F TH STAT E FCA.LI IA IM REL NG TO 1y KMEN'tl MFEN TION INa RAN I. LATH, EXT. SIGN R HOUSE NUMBER COR- PERM! RECT AND POSTED ADD FINAL JOHN F. �L�EWIS. PRINCIPAL ST R AL ENGINEER PLAN CHECK VALIDATIO CK. M.O. CASr H _ LI. VALIDATION CN. M.O. CA1H Lrco 2 , 2,-�3 DEC 18 1 D 69.00— to 9.00— to r) 1 9 2 zg DEC 14 --t5 D 4 1 .4 0 A r - 7e'"IIA CE SS03 4/70 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGET _ASSESSOR DEPARTMENT OF COUNTY ENGINEER MA-P BOOK PAGE ' PARCEL BUILDING AND SAFETY DFMION BUILDING ADD Ell ` JOHN A. LAMNIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT OF BUILDINGt LOCALITY FOR N NEAREST APPLICANT TO FILL CROSS ST. (Print or t-YD* only)BUILDING �j ( /- �y /-LJ /� DISTRICT NO. GROUP CONST, PROC D BY ADDRESS L4440 61 V{_G T AV EN U5 � Q � STATISTICAL--77� CLASSIFICATION - lSEWER MAP LOT NO. BLOOK CLASS NO�DWELL,UNITS L. SK �aG TRACT USE ZONE MAP " NO.OF BLDG.. NO. D .SIZE OF LOT NOW ON LOT IA- o� SPECIAL USE OF COND TIONS EXISTING BLDG. OWNER NAYT�R MAr1UFX crv1e1 `. BLDG.SETBACK FROM ' ADDRESS �4.4Q brDL AV6 ! FRdNTPROP.LINE OF (STREET) TYPE OF ISTI SETBACK HIGHWAY + YAJW _ TOTAL CITYTQM Lpp♦yy� HIGHWA WIDTH FROM C.L. ENGARCHI ECT ORi Rojpy i4G0jD,02A TEL + _ = NO. J0= `K BLDG.SETBACK FROM ADDRESS �3ZSpEi '�/'I�I 4j rl VtjQA10SIDE PROP.LINE OF (STREET) CONTRACTOR IRS UA r LGA TE TYPE OF NO. -2 257 HIGHWAY wDTTMNtl CK HIGHWAY + YARD = TOTAL ADDRESS Z' ✓T• NO 2d_ + — S CLASS CITY CORNER CUTOFF YE3 E]VERNO N e--1 Es NO.CONSTRUC ❑ ENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ' a ADDRESS N Z_ SQ. FT. NO. OF NO. OF NEW SIZE STORIES FAMILIES USE OF ADD STRUCTURE - ALTER ❑ SIGNATURE OF,47 REPAIR❑ APPLICANT �.(� {�/►[�^� DEMOL ❑ VALUATION f �pv APPROVALS DATE INSF[CTOR'S SIGNATURE FOUNDATION: LOCATION FEE f (� FEE f FEE FORMS MATERIALS 7 FRAME: FIRE STOPS, I HERESY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION BRACING BOLTS AND STAT[ THAT THE ABOVE ID CORRECT AND AER[[ TO COMPLY FURNACE: LOCATION, V WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- AS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORE AUTHORIZED H[R[BY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TH[ LATH, INT. LABOR CODE OF THE STATK.�OF •CALIFORNIA. IN RELATING TO WORKMEN'S COMP[NMT INSURANCE LATH, EXT.. SIGNATURE OF �. HOUSE NUMBER COR- PERMITTEE ` RECT AND POSTED A0DRESS �� J " FINAL JOHN�F..�L�}E.WIIS/. PRINCIPAL STR L ENGINEER PIAN CHEC7 VALIDATION C M.O. CASH — rL.ill�lii • TION CK. O. CASH $ .5 .O r HOY 2•]. 3 3 U 9.0 0 � $ 5 1-9Nov 21 1 0 15.00.A-% TeAeaeA CE#503 I/TAPPLICATION FOR BU I L,DI G PER COUNTY OF LOS ANGELES ASS Ess OR DEPARTMENT OF COUNTY ENGINSEII +AAP BOOK PAGE PARCEL DRESS BUII.DING AND SAFETY DIVISION )kDESD DR COLQMAN W. JENK1KS,• '§UP'T,QF,IUILDINo _ 1 OCALITY t?, R "F j' NEAREST (Print Or type.only) N, CROSS ST. BUILDING -- � 41ST ICT N G T R ADDRESS STATISTICAL CLASSIFICATION SEWER,M)k LOT NO. BLOCK ' •Ci-ASS NO DWELL UN P.G TRACT �� E.ZON� MAP' . O.QF BLDGS.' NO, $1ZE.OF LOT NOW QN LOT ' ' SPECML EXI OF' ONbITIONS ' XISY NG BL G. TEL- OWNER NO. EILDG.SETEACK.FROM ADbRESS. FRONT PROP.LINE OK7 (STREET) TYPE OF I$TING SFT$ACK HIGHWAY + YARD TOTAL 411GF{WA WI TR FROM C.L .. ' ARCHIT GT t L } x ENGINEER NO,. ISL DO,SETBACK FR QDR SIDE PROP,LINE OF A (STREET) TEL. '(1'PE OF IS ING $ET6ACK Hi GkiWA - YARD TOTAL CONTRACTO NO. H� AY WIDTH FROM C,L. ADDRESS b ../3 + CITY LCCA$$ CORNER CUTOFF YES ❑ , NQ '❑ C s;5J 71_ N LF,N R.:.' a NAW_ AND B NCH' . t. �7s, EE REVERSE SIDE FOR SPEC IAL,'APPllOVALS' _ ADDRESS ... - SQ. FT, NO. OF NO. F SIZE TGA ES FAMILIES NE1Y , ADD TRUCT RA, TER(*/iEPA]RSIGNATURE O-PLICANT EMOLALUATION f � ApPROVAL4 DATE INFP"F OIi"■ •IONATUAK C: PMT, " UNDATIONI LOCATI-ON EE . , •' f�ff.f FORMS MATERIALS RAME:'FIRE STOP$, I, lIIEeY ACKNOWLR049 THAM I.HAVk IREAQ tH_FS APFLICATIOA BRACING BOLTS .'AND't7�l�T[THAY'TH[ A,BOVII IS CORR[CT AND AM[[ TO COMPLY, FURNAC,EI LOCATION, -WITti. TlC bRDINANCt� rAND LAWS R94ULATIN• ■uKlLbi N! CQN- GAS VENT,'DUCTS i SfIRUCtIgH. I CRRTIF.Y THAT IN.,DOPH4 THE. WORR'A'IJTHOIIIZED [REaY I WILL NOT ]EMPLOY ANY- f[RSO'N IN VIO-AfIQN OF THE -.LATH. INT. ' 0I( CODE OF THE [YAf! OF •CAk7FQRNIA INR[LATIN! TA _ W WE COMPENSATION INSUk ACi. LATH, EXT. ' - SIGNAT RE OF HOUSE NUMR COR- PERMITTEE RECT AND POSTED. ADDRESS FINAL J-0 RN F. LEWIS. PRINCIPAL STRUCTUMAL ENGINEER PLAN.CH= VA=ATTONl_t:> Mme: . CA#H _ PERMIT VAI JDATION CK. M.O. CX&H l FOR APPLICANTAOPP�L NCATI(Print or fYOG only) BUILNG PERMIT ` I Cr BUILDING ,l BUILDING ADDRESS E. 61 D E�" T. ADDRESS CITY `TEMPLE 61'ry ZIP NO.OF BLDGS. LOCA LI SIZE OF LOT NOW ON LOT NEARES CROSS S TRACTLOCK LOT NO ASSESSOR MAP BOOK PAGE CEL TEL DI�RICT GROU TYPE FIRE PROC ED Y OWNER T-� Grte MF&, i NO. �{ fd� C2NST ZONE ADDRESS 9b42 E. 610L.CV $.�", L I GMIFL6 � STA TIS ICAL SSIFICATION SEWER MAP CITY 1 G r ZIP CLASS NO. Z OWELL,UNIT3 BK PG ARCHITECT OR s `^ �/ TEL. ENGINEER fKJ�fJV'7 [1 NO.s .1,., S�} E ZONE MAP •�� ADDRESS 32 6, jS'1' 151-, V6f>90A) SPECIAL `✓ EL. CONDITIONS CONTRACTOR FjE- T 2 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ ADDRESS _gj- 6, LIC. T NO. 2 BLDG, ETBACK FROM CITY MGR/M(JN LFRON PROP,LINE OF (STREET) I.C. C ,Ass HI OHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING NAME AND BRANCH CONSTRUCTION LENDER FRONT PROP. LINE HIGHWAY WIDTH ADDRESS CITY SQ. FT. NO. OF NO. OF CHECK BLDG.SETEAC ROM p SIZE STORIES FAMILIES ONE SIDE PROP.LINE (STREET) tS NEW HIGHWAY + YARD - A ETBACK PR F EXISTING C= DESCRIPTION OF WORK A00rrlo aJ Q` S E HIG WIDTH ` ARE $p9141 LE W 06w ADD + = CSW ALTER i 6AO1O EPAIR CORNER CUTOFF YES ❑ NO ❑ USE OF EXISTING BLDG, EMO L ❑ IN OPEN SPACE YER ❑ NO ❑ APPLICANTC{dd TEL FJ/� d IN COASTAL ZONE YES NO (PRINT) f InF�GUARS '-"' I NO. 6a_,025 BY (SI ONA TUR E) f..� ��� ��- EKVIRONMENTAL CATEGORICAL EXEMPTION YES❑ NO ❑ IMPACT EXEMPTION DECLARATION 31ONED (DATE) VALUATION s � D IMPACT REPORT PROCESSED 7-1(DATY) I HEREBY ACKNOWLEDGE TKAT 1 KAY[ READ THIS APPLICATION / AND [TAT[ .THAT TM[ ABOVE IS CORRECT AND AGREE TO COMPLY -Y' �I �) a � "1�; 7177 WITH ALL ORDI MANCE5 AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN 1501NG THE WORK AUTHORIZED HERERBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LA 60R CODE OF THE STAT[ OF CALIFORNIA IN RELATING TO WORKMEN'S COMP g OMPE NGATION INSURANCE. SIGNATUREOF A / ^�+� FINAL 6Y PERMITTEE DATE ADDRESS Q LE. ST P. t PM t FEE i FEE �P , CITY tQA10N NO, 9, NO J PLAN Cl= VALIDATION CK. M.O. CATH PERMIT VALIDATIO CK. M.O. CASH 713i�APR 17 _ 9.00d 4 oc"�'APR :50 1 0 1 5.0 04-9c, 76AO38B CER303A 6/73 a ..7Ar(e3eA!o-e reoa.1/7* , APPLICATION FOR BUILDI G PER T s, COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT of BUILDING LOCALITY FOIR AP TO FILL IN NEAREST CROSS ST. DISTRIC N P TYPE PR Y BUILDING � Qy,, CONST. ADDRESS � �J / p STATISTICAL CLASSIFICATION 3 MAP! LOT NO. `— —G ®LOCK CLASS NO..UDWELL•UNITS BK •�G TRACT eK USE ZONE MAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG, ak L _ OWNER01� O• BLD .GETBACK FROM bE ADDRESSI-rFRON PROP.LINEOF (STREET) TYPE OF ISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWA WIDTH FROM C.L. ARCHITECT OR TEL. + - ENGINEER NO. BLDG,3CK FROM T ADDRESS SIDE PROP. F (STREET) TEL TYPE OFISTING SET HWAY + YARD = TOTAL CONTRACTOR NO• HIGHWAY WIDTH FROM C.L. S LIC. ADDRESS I�-��i� LC I + = HO) CITY yG 4 CLASS Com' CORNER CUTOFF YES ❑ NO Uwy.� CONS TR UC ON LEN G. NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO..OF NEW SIZE STORIES FAMILIES E O T /i✓� ADD ST ❑ ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT Cy a DEMOL ❑ VALUATION ! / / d� `—� APPROVALS DATE INBR[CTOR'■ GIGHATkR[ P.C. PM . 1-746jLO F0UNDAT,IONI AT FEE S / D FEE S FORMS MATERIALS FRAME: FIRE STOPS, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STAT[ THAT THE ABOVE If CORRECT AND AGR[[ TO COMPLY FURNACE: LOCATION, WITH ALL AORDIKANCIS LAWS REGULATING BUILDING CON- GAS VENT, DUCTS 7TRUCTION. IN DOING TH[ WORK AUTHORIZED HEREBY I WY PERSON IK VIOLATION OF THE LATH, INT. LABOR COD -CALIFORNIA IN RELATING TO WORKMEN'/ LATH, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPA S'I'R URAL ENGINEER PLAN CB= VALIDATION c M.O. cuH _ PERMIT VALIDATION CK. M.O. CA GH 0b34r- JUN1423 D 316.80< 'K- 18839 Aus11 1 D 176 .50— �►'d' 76A630A=ca #e03•1/7APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, 8UP'T OF 15UILDING LOCALITY R APPLICANT TO FILL IN NEAREST CROSS ST. (PrInt or tyDe only) DI ICT NO. GRO YPE OC Y BUILDING may_.. O ONS Z , ADDRESS V I' / STATISTICAL IFICATION ER MAP LOT NO. LOCK CLASS NO WELL.UNITS TRACT JBLDG. ONE MAP NO.OF BLDGNO. SIZE OF LOT NOW ON LOT SPECIAL USE OF •� CONDITIONS EXISTING BLDG. TEL OWNER NO. SETBACK FROM ADDRESS PROP.LINE OF (STREET) OF EXISTING SETLAC-K HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHI CT OR TEL + _ ENGINEER O. SETBACK FROM ADDRESS ROP.LINE OF (STREET)TELF EXISTINO SETL/1CK HIGHWAY + YARD = TOTALCONTRACTOR O, Y WIDTH FROM G.L. 8 LIC. + _ ADDRESS NO. LIC. CITY / CLASS CORNER CUTOFF YES ❑ NO ❑ W CONSTUCTION LENDER tori R NAME AND BRANCH VERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF NEW r. SIZE STORIES FAMILIES ❑ f USE OFlel`Cl_ ADD U STRUCTRE /1 y/`/ , ALTER ❑ 6 REPAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATIONS 160415vAPPROVALS TE IN P[ OR's • GM RS P.C. �D PMT. O FOUNDATION: LOCATION FEES 7,:57e �s FEES FORMS MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACT NO BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAMS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL XOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LA e0R CODE OF THE STATE OF -CALIFOR MIA IN RELATING TO WORKMEN: CO SATIO INSURA LATF{, EXT. SIGNATURE HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCI AL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. c(A�.GH _ PERMIT VALIDATION CK. CASH � -1 7 5 4-4 APG 7 2 2 3 D .0 0- 1755-r- .AW 2 1 D .15.00- .• .k QEE11 ff!;#8 0; 1/71 � Q APPLICATION F'OR BUIL6 COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JLENKIN4, •UP•T OF BUILDING LOCALITY FOR F NEAREST APPLICANT TO CROSS ST. BUILDING DISTRIFT NO. OR Y E PR ED Y ADDRESS 0 CONS STATISTICAL CLASSIFICATION ER MAP LOT NO. e BLOCK CLASS .40 AQ DWELL,UNIT8 T_ BKS TRACT .� .� USE ZONE M�P NO.O BLDGS. N0. SIZE OF LOT'. +�' /� OW ON LOT 3PECIA USE OF - CONDITIONS ` EXISTING BLDG. SWNER/V/y, ; NO� BLDG,SETBACK FROM ADDRESS FRONT PROP,LINE OF (STREET) TYPE Of [STING SETBACK HIGHWAY + YARD = TOTAL CITY- `� HIGHWA WIDTH FROM C.L. ARCHITECT Q TEL. + _ ENGINLER = NO. BLDG,SETBACK FROM ADD E33 SIDE PROP.LINE OF (STREET) TYPE OF ISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO• HIGHWAY WIDTH FROM C.L LIC. ADDRESS,,/,'-Z,rZ. NO. + LIC. _ CITY'. i• CLASS `+ �' CORNER CUTOFF YES ❑ NO ❑ Ld CONSTRUCT[ N LENDER NAME AND BRANCH D/(/ DO REVERSE SIDE FOR SPECIAL APPROVALS Z ADDRESS SQ. FT. NO. OF NO. OF NEW SIZE - STORIES FAMILIES USE OF ADD STRUCTURE ALTLRREPAISIGNATURE b l57APPLICANT DEMOLPPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDAT10Nt LOCATION FEE f FEES FORMS MATERIALS FRAME: FIRE STOPS, ~I HERESY ACKNOWL 1E TNAT I HAVE READ THIS APPLICATION. BRAC[NO BOLTS AND STAT[ THAT THE ■OV[ Il CORRECT AIJD,AGREE TO COMPLY FURNA%t LOCATION, WITH' ALL 0""'N 1 LAWS REGULATING BUILDING CON- .GAS V€NT, DUCTS 'STRUCTION: I C[R S' HAY IN DOING T E WORK AUTHORIZED, MERSEY 1' WILL ' t LOY ANY 'PER IM OLATI IN OF THE LATH, INT. LABOR CODE OF STAT[ OF IN RELATrNG TO WORKMEN'll COM TION 11il UR LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTER RECT AND POSTED oe ADDRESS FINAL - J� JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER J PLAN CHECK VALIDATION � M.o. cAeH _. PERM VALIDATION<�SD M.O. CASH 1 Al' 0 5 4 1 c MAY 2-7 2 3. D 1 9.8 0' I Ar-0 5 4 2twy27 1,..A 3.00-� 4 WORKERS'COMPENSATION DECLARATION' to self Insu��orace ificathat teofWorkers' Comtpesa.tlonnInsurra , .APPLICATION FOR BUILDING- PERMIT a certlfled co thereof (Sec. 3800, Lob. C. cV0 -q 131 -.LU S � d��. COUNTY OF LOS ANGELES BUILDING AND SAFETY of o. Company Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN Bu (�I-o I Certified copy Is filed with the county building Inspec- BUILDING ^ gtion department. ADDRESS O 1 1 LOCALITY Date/ —l -$ZAppllcon �. CRO55 C� `- CERTIFICATE OF EXEMPTION AZOM WORKERS' NO. OF BLDGS, ASSESSOR COMPENSATION INSURANCE SL7J OF LOT NOW ON LOT MAP BOOK PAGE PARCH (This.sectlon need not be cam leted If the permit Is for one USE ZONE � hundred dollars (;100)or Ion. BLO« LOT NO. . Tg SPC�AL } I certify that In the performance of the work for which this A �' J 1CONDflX)NS IL permit is Issued, I shall not employ any person In any manner GROUP TYPE FIRE BY Q so as to become subject to the Work" Compensation Laws, ADDRESS 6 CONST. ZONE Date Applicant ` L LP STA RCATFON DO.ARC3irO. NOTICE TO APPLICANT: If, after making this Certificate of ENGEN ER' LU Exemption, you should become subject to the Workers I7JGITl�IJ2 tJO. CLASS NO. �' DWELL UNfIS N Comppnsatlon provisions of the.Labor Code, you must forth- ADDRESS SEWER MAP #A with comply with weh provlslons or this permit shall be VALlDAT10N deemed'revoked. CONTRACTOR l L NO.4 BKPG, LICENSED CONTRACTORS DECLARATION p I hereby affirm that I am Ilcenspd under provisions of Chapter 9 ADDRESS 1 / f—£rJ LiC .�O VALUATION (commerndng with Section 7000)of Dtvblon 3 of tfie Busmen and LS O Profewiorts Code, and my license Is an full force and effed. OTY O FGLrnoN, CLASS SQ Fr. NO. OF IKE NEELicenseNuml,.,.G.V 4 -3 �Ic_Class S� STORIES ONE doW Yµs L. _t c Date —Z ? —S5S DESMPTION OF WORK NEW Contra ADD q ❑ I am exempt under Sec. ❑ FINAL ALTER DATE Y �� B.BP.C. for this reason P.k T i ka REPAIR ❑ 115E OF FINAL Date: DUSTING BLDG. DEMOL. ❑ v — 1- Signature APPLICANT TEL By OWNER$UILDER DECLARATION (PRI ,Q•oI F hergby afflrm that I am exempt from the Contractors License r B �O Law for the following reason (Section 7031.5, Business and Profelslons Code): I, as owner of the property, or my employees with IADIDRIESSI wages-as their sole compensation,will do the work and the structure Is not Intended or offered f' sale(Section LOGNITY 7044, Business and Professions Code). MOVING TEL 6 3 Q 1 A I, as owner.of the�property,rtY� am exclusively contracting TOR #'O'v 0 • o1 with licensed contractors to construct the project(Sec- ADDRESS tion 7044, Business and Professions Code} 2 0 0 6 1,0 0 RET BACK TOTAL SETBAOC FROM EXIST. CONSTRUCTION LENDING AGENCY SETBACK Y's`� F11M1' PROP. U WIDTH ' I hereby afflrm that there Is a construction lending agency for FRONT , o 0 0 U, 1;0 0 25 the performance of the work for which this permit Is Issued P 0 9. 1 7-82 Sec, 3047, CIV,C.) SIDE Lenders Name S Lenders Address P.C. Fee$ Perm it Fee r I certify that I have read this application and state that the 19a Fee J above Information Is correct. I agree to comply with all County Investigation Fee ordlnanee• and State laws relating to building construction, r Total Fee and hereby authorize representatives of this County to enter upon the ve-mentioned property for Inspectl n purposes. iia R!VlfR POR DMANATORY LAN OUAGE nature of Appllomrt or Agent WORKERS'r'OMPENSATION DECLARATION insure, or afirm fertif catharte of Worke s' Compensation Insurance, APPLICATION FOR BUILDING PERMIT �1 or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING 1:1 FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING G, tion department. ADDRESS _ LOCALITY,--- NEAREST Date Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF�+✓''� x 1 ' S MAP BOOK PAGE PARCEL COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. n+ \\ TEL. �Z. SPECIAL I certify that in the performance of the work for which this OWNER t� �V / NO. CONDITIONS IL DISTRICT GR UP TYPE FIRE 27� O permit is issued, I shall not emplo y person In any manner CONST. ZONEU so as to become sub' ct to the __kers'Compensati Laws. ADDRESS _ ! CITY L� `� ZIPO Date Applicant .._.� "�^ STATISTICAL LAS CATION APT. CONDO. NOTIC TO APPLICANT: If, after'"making this Cer11TIC_te of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP V) with comply with such provisions or this permit shall be ,I 1 � ii TEL. BK.,k-- PG / VALIDATION deemed revoked. CONTRACTOR �v �-� NO. LICENSED CONTRACTORS DECLARATION O I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS `t� �= NO. n ' �� VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. O CYC> Professions Code, and my license is in full force and effect. CITY CLASS $ ► f G SQ. FT. NO. OF NO. OF CHECK License Nu r ®�`' Lic.Class SIZE STORIES FAMILIES ONE t + NEW $ DESCRIPTION OF WORK iV Contract_ }� \ c Date G ADD ❑ I am exempt under Sec. 1 ALTER ❑ FINAL B.&P.C. for this reason � REPAIR ❑ DAT Date: USE OF FINA EXISTING BLDG. 1\1 �j t DEMOL ❑ B Signature APPLICANT � CTELO Y OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS + ��, , 113 C� Professions Code): PRE ENT J z' 2 7 9, 5 A, BUILDING ❑ I, as owner of the property, or my employees with ADDRESS # •.• • •'• 1 wages as their sole compensation,will do the work andLOCALITY to 1,/� � 2 •`• 4.0-5r" 0 the structure is not intended or offered for sale(Section /` 7044, Business and Professions Code). MOVING TEL. ! ') • , • 40.r)Q x I, as owner of ❑ v the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- LInvestigation 4 �, 1 g 4 tion 7044, Business and Professions Code). TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). m Lender's Name Permit Fee -30 Lender's Address ;c I certify that I have read This application and state that the Issuance Fee above information is correct. I agree to comply with all County Fee g or�iagnces and State laws relating to building construction, Total Fee f7 S V d gfid heteby authorize:. epresentatives of this County to enter ;upon The,obove-men t ed;Or for inspection�urposes. i � L'U SEE REVERSE FOR EXPLANATORY LANGUAGE ignature o App icant or Agent Date - �� l . 1 COUN'T'Y OF LOS ANIGU &S TEMPLE CITY #k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPASIR BUTZDGFG AND SAFETY / LAND DEVELOPMENT TDOLE CITY CA 91780 BL 0508 0811100001 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUI LNG ADDRESS: TR: 12998 LT: 64 BL: .001 SQ. FT STORlF6S TYPE 9620 GIDLEY ST STRUCTURE: 240 V-B TII4P CA 917804215 ASSESSOR INFO ON NUMBER: NEAREST CROSS STREET: TFNPLE CITY 8592-004-054 Tf-KKXS PAGE: 597 GRID: A5 LOCAL=: TE24PLE CITY, C TENANT: EX= BLDG USE: COMMS USR PANE: M-2 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 11/0/08 SR OWNER: TEL. NO: BLDG9. NON ON LOT: VAI;=ON: BY: CODE: MCGUG32B, JOHN (626) 443-4026- 47,000 9620 GIDLRY ST l r6 TEMP 917804211 FEES PAID D&9CIZIPTION OF WORK TEAR OFF FLAT ROOF/INSTALL TORCH DOWN MIDIF= FEE DESCRIPTION: QOANITPY: UOM: AMOUNT: APPLICANT: TEL. NO: RIOS (626) 444-7555- AA BLDG PERMIT ISSUANCE 27.75 9613 GIDELY ST. AC STRONG MOTION RESID 47000.00 VAL 4.70 SPEC­LA.L C0NDITIONS: TT'2GYLR CITY CA 91780 D2 PERMIT S4/O EN-HC 47000.00 VAL 758.55 TOTAL FEES 791.00 CONTRACTOR: TEL. NO: APPROVALS DATE INSPEtAT'OR SIGNATURE T=Y'S ROOFING SERVICE, INC. (626) 444-7555- 9613 GIDLEY ST LIC. NO W>CAY'IOLT AND Sr.'r'BAL-ra TEMPLE CITY CA 91780 901287 C39 SOUS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LSC.TWO: SLAB-/UNDER FLOOR RAISED FLOOR FRAD®1G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 00 FLOOR SHEATH12NG NO. OF FAM=J-&9: DWEIJ-T G UNIT APT/C ND: STAT CLASS: NO 22 ROOF 5HEATBIIVG �7 SCHOOL W177 7F HAZARDOUS SHEAR PANELS AIF. QUALITY: 1000 7= MATERIALS NO NO NO FRAh(6 INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINTLER HANGERS SST BACK YARD: HWY: PROP T. MOTH: FRONT PL- INSULATION/WEAT'HER STRIP SIDE PL- rNTEarOR LATH/DRYWALL EDUIURIOR LATH RATED FLOOR CSIL ASSE34. RATED WALL ASSEM®LRS RATED SHAFTS OPSNIRC3,9 T-BAR CEILINGS LOT DPAI AGE REPORT ID: DPR261 RO(7TE TO: BS0508 APPLICATION ,,FOR BUILDING PER T- ' 311 • 0311 COUNTY OF LOS ANGELES, BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN ADDRE I hereby affh m that I have a certificate of oore sat to aW Inure or a certtkate d Vlbrtcars' Comperesafion Insurance,or a certified copy towed Sec.3800, C.) CIT aP Policy No- y -'�T� D Loca�ry SIZE OF LOT NO OF NOw ON LOT ❑ CerffW copy is hereby fumlehed. NEAREST CROSS 8� copy Is fled with the county buOdlreg Inspection TAT BLOCK LOT No 118E ZONE A4AP NO. bT— .t Date %Applicant 11,w�.',a'Y1 111 1��MAP BooK PACE P^' sPECVL cor� CERTIFICATE OF EXEMPTION FROM WORKERS' �` TEL k _Z1S3 V?FMN 100-0 FT OF 9CHCCC? YE,y NO COMPENSATION INSURANCE S (this section need not be completed ff the permk 119 for one hundredb 2 ST, 3i8TFICT GROUP FIRE ZONE PRocessED BY dollars (S 100)or lees.) trry I certify that In the perforrnance'd the work for which this permit1-�s. ne0 Id Issued, I "I not employ any person In arty manner ao ea to AR(�aM�ECT OR -G-7 EFA TEL NO O becoe eubJect to the Nbrtrs e 'Cornpereastbn Laws. SV91STYGr,L�gM AFT CONDO Date Appllcarrt ADDRESS CLASS NO. ufflaL NOT)CE 7L) AFR".(VT If, after makino &1119 Certificate of ESrDE TOTAL SETBACK FROM DOST Examptbn, you 8.ha become sub)oct to the Vrbrkere' ATO TE-NO. )ARD I-tvyY PFIOP LNE wilym Compensation provision of the Labor Oode, you muat forttw t comply with such provisions or thls permft shall be deemed revoked. A SS LIC.No. 33U LICENSED CONTRACTORS DECLARATION �t I hereby affirm that I em licensed underprovlebree d Cnepter.9 aAT 39 SEWER MAF (comrTeeredng with Section 7000)d Dlvlsbn 3 off the I3Lraheeae and Sa FT.SIZE NO.OF STDTtEB Na OF FAMILIES Profeeabne Code,and rrry�license Is In full force Bred NEW 1:1 RK PG ' License Numbx'er Y 38 Uc.C4-6 G DE9CFdPT0N of WORK ADD ❑ WLUA10N Contractor HALAC.OM F-CCd- Date S— i—9.(a ► -cceu� 2. gPs� _ ALTER ❑ $ Z.S a1>, 8 ❑ I am exempt under Seo REPAIR ❑ f3hP.C.for this f DEMOL 11 USE Pic r i USE OF NO 61DCi URM ❑ 1 ��yp C0 - PFVVr) L-�� LDMA Perm t ACCT■r` z El 1, as owner d the property, or my enpbyoas with wages as Z 498.98 their axle compereeation, will do the work and the etr,Jcture fa Z2_ r O FINAL DATE not intended or offered for safe (Section 7044,,f3,Jelreeea and p 1 ITEM Pro(eeabne Code.) YA L THE APPLICANT OR RFn1FE a1lDNe CCCLFANr HANDLE A HAZAFCCU8 6WM VL TOTAL. OR A LCCU CONTAIllr3 A HAZAFDOUB IbUEFd�L E"W TO OR QWDU}l,n"THE ❑ Il as owner d the property, amt the pivety C Soc5 tlnp wftt, A44OU"SPECFED ON THE HAZARDo116 L4=dALA WOr71410N GLIDE? FULL BY 498- 9 tB Icenaed cod Proora to cCodellct the prof (section 7(}44, YES❑ No❑ CW(Z 498.98 euslreeaa and Profeseiorea Code.) U(,fFE►OED USE of THE BLPELM aY THE APPL".4T oR PURIFE 31101!0mEOl13E A PB:"T FOR CCWn4JCTION OR 110OFKAION FROM THE SOUTH •00 CONSTRUCTION LENDING AGENCY UALr 1421AL3o,ENT DISTRCT terAnot SEE PEFUTTHO CI-EGa.reT FOR w I hereby affirm that there fe a conatructi0m iendkV agency for YE8❑ No❑ 000—a0�015/3]J96 o the palormance d the worts for which thfa permit 19 Issued(Sec. IH E FEAR THEw HAZAFCOI»► FAALS WORLLATO GU]EAND THE SC.•:S.PwA77M a. 30137,crv.c) q E uloasBwID►�REo�E.Err a THE L06 cou11T Y cow 1 AI'111.Q T1 ILE 2,SCJ-NP,-Ell 220 aECTIONa 22Q,00 TFFlOU( ,220.140 '' FU2l�FDOUB 6689 Leredera Name LW131AL8 FEPORTNO A1JD FOR 06P,1110 A PE NAT FROM THE SC1nQ Lenders Address or.s,OR AWD(T 0 I certify that I have reed thle application end &tate udder penalty d perjury that the above Information Is. correct I agree to oDrpty PZ FEE PEPJ4T FEE / with ell and State sews relating to bufldng (� and au(hortre of this County 28LIANCE FEE enter the for Irespecdon INVESTK3AT01N FEE TOSAL FEE Al- SEE SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certlflcate of fbnsent � APPLICATION FOR ,BUILDING PERMIT Insure, ora certificate Of Workers en Compsa o Insurance, ora certified copy thereof (Sec. 38013, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poly N . 1039547 Compa� tate Co tion �� DiNG Certtfied copy is hereby fvrnl FOR APPLICANT TO LL IN p f—f �ertlfled copy Is filed wlth,the cou4bulg I BUILDING GidleL* tion department. ADDRESS Date 8—.�-88 Applicant CITY ZIP LOCALITYERTIF#(ATE OF EXl=M1PT F tv0,bP BLDGS rEAREST COMPENSATION INSUOwCE RANCE SIZE OF LOT NOW ON L ST. (Tbla section need not be,cam leted If the permit Is for one ASSESSOR hundred dollars($100)or jem. TRACT BLOCK LOT NO. MAP t;ODIC PAGE PARS OWNER Fairchild Natter Mfg.T° 81-443-41 zoNE MkP I certify that'in the performance-of the work'for width this NO. permlt•Is Ipu/d,'I shall not,emplpy any n in any mannor RESS 9440 Gidley 1 5O� CM so o1 to,become tyblod.to the Worken�mperacrtlon.t.aws. m Dat. Applicant CITY' Temple -City ZIP 91780 NOTICE.TO,APPLICANT: ff t after .rrluklnq'this Cbrttficate of ARCHITECT OR naneNEO Dt MCT GROUP TYPE FIBY. Exemption,,you should become subject. to the Workers Comperad 1pn provisions of'the Labof Code,.you must forth- ADDRESS CEJ V with compfy with such provisions or this: permit shall be deemed revoked. coNTRAcroRIInited Roofin —22 sTAT1sn� FArroN Z LICENSED CONTRACTORS DECLARATIONLIC cess. Dwt3L uwTS I hereby affirm that I am Ileensad underprovlslgrsofChapter9 ADDRESS 1821 DaX St. NO. . 3765b (commendr�with Section 7000)of Dlvlls on 3 of the Busineu and Ur— Stl�ER MAP Prafewlgrn Code, and my Ikertse is In full force and effect. CITY —39 VALDATION SQ. FT. NO.OF NO.OF CHECK' ' T.. llcogse Number Ic.Clan C-39 SIZE SroR" F ONE VALUATION NEW Gontro4ior e; 8-29-88 DEs0WM0N OF WORK Tear off A s 19671.00 i am exem ndstr — — ,qL� B.&P.C. for this reason. REPAIR ;- - - bat.: Exisnt tc BLDG. Della 0 8`1.9.A br _ APPLICANT. TEL IyNAL p # o .;o o a' s ro OWNER-BUILDER DECLARATION -�~ i PATE f hereby afflrm that f am exempt from the Contractor's License r� Law for the following reason (Section 7Q31.5, BuslneM and Qn opo G,1 &'6 3.6 Professions Code):. ❑ I, as owner of the property, or my employees with BUILDING 0 0 wages as their sole compensation,will do the workand rl 4 r''8 8 the structure Is not Intended OF offered for sale(Section LOCAUTY -70", BuWness and Prafeuf6rq Coded MOVING TEL CONTRACTOR I, as owner of the property, am exclusively controcting �' with licensed cootroctors to construct the project (Sec- tion Sec tion 7044, Business and Professions Code} ADDRESS FROM CONSTRUCTION LENDING AGENCY YARD HVVY. PROP. u I hereby offIrm that there is a construction lending agency for, FRONT the perfbrmdnce of.the.work for which this permit Iia Issued (See, 3097, Civ. C_). SIDE. P.L. Lenders Name LDMA Ref. je LenOees.gym P.0 F" Perm it No I certify that-I have rood this application and stat thct the I.uance Fee 10.50 P/C t Q above Infgrrrwtlon k correct. I agree to comply with all County ordlnaftcee and Shue laws relating to bul ing constructlon, nveelgrnton 218.63 IDayy . ; and hereby dutborIie ves Of this County to enter Twal Fee. upon the a oned for Iraped Ion purposes 8-2988 W tQIAM roe E' UK WATM LANGUAW . T Ot ICOr1t Or-/�10eTM 'fie - .